Conditions We Treat
Padda Institute Center for Interventional Pain Management offers a number of minimally invasive pain treatment options to help you find relief. Our pain-relieving treatments have been demonstrated to be successful. Our goal is to improve each patient’s overall health and, as a result, increase their quality of life. At Padda Institute, we feel your pain, so we’ve made it our mission to thoroughly identify and treat all chronic pain issues.
Cold Laser Therapy (Photobiomodulation)
Cold laser therapy, also called photobiomodulation, uses red and near-infrared light at 650, 808, 905 and 980 nanometers to reduce...
Shockwave Therapy
Extracorporeal shockwave therapy delivers focused acoustic pressure waves into chronic tendon and soft-tissue injury to stimulate repair. Delivered in-office at...
Pneumatic Cervical Traction
Pneumatic cervical traction applies controlled, measured decompression to the neck, reducing pressure on cervical discs and nerve roots. Delivered in-office...
Whole Body Infrared Therapy
Whole body high-intensity infrared therapy delivers deep penetrating warmth to reduce muscle guarding, improve circulation and increase tissue extensibility. Delivered...
Whole Body Vibration Therapy
Whole body vibration therapy uses a controlled oscillating platform to recruit muscle reflexively, building load tolerance in patients whose pain...
Digital Whole Body X-Ray
Digital whole body X-ray performed on site at Padda Institute in St. Louis, so imaging and evaluation happen in the...
Cognivue Cognitive Assessment
Cognivue provides an objective, computerized cognitive assessment so that changes in thinking during chronic pain treatment, opioid tapering or metabolic...
Failed Back Surgery Syndrome
Failed back surgery syndrome describes pain persisting or returning after spine surgery. Epidural scar tissue, adjacent segment change, untreated facet...
Cancer Pain Management
Cancer pain is a condition rather than a single diagnosis. Visceral, bone, neuropathic and mechanical pain often coexist and each...
Electroanalgesia (TENS and PENS)
Electroanalgesia uses controlled electrical stimulation to interrupt and modulate pain signaling in nerve pain that has not responded to medication....
Anxiety, PTSD and Chronic Pain
Many of our patient’s have suffered significant trauma, either psychological or physical, which maintains a chronic high level of anxiety,...
Facet Joint Injection
The spine is designed to bend and turn. Along with the intervertebral discs, facet joints (also referred to as Z...
Facet Joint Radiofrequency (Rf)
A patient with primary facet pain, proven with either one or more blocks, may be a candidate for a facet...
Sciatica Nerve Pain Treatment
Sciatica mainly refers to the pain that radiates along the sciatic nerve. The sciatic nerve branches from the lower back,...
Severe Head And Neck Pain
The goal of the Padda Institute Headache Section is to provide diagnosis and treatment that will help people who experience...
Stellate Ganglion Block
Your body has special nerves known as sympathetic nerves in your neck which ,control blood supply and sweating to your...
Vertebroplasty
Bed rest and strong pain medicine are no longer the only treatments for back pain caused by compression fractures of...
Epidural Steroid Injection (ESI)
Back pain affects nearly everyone at some point in their adult life. Often times the exact cause of pain is...
Selective Nerve Root Block
Nerve roots exit your spinal cord and form nerves that travel into your arms or legs. These nerves allow you...
Serious Foot Pain
Nearly 60% of patient’s with chronic forefoot pain presenting to a podiatry practice have surgical intervention, yet only 50-60% of...
Pancreatitis Pain Treatment
Pancreatitis is the inflammation of the pancreas. The pancreas is a large gland behind the stomach and near the first...
Discogram
The disks are soft, cushion-like pads which separate the hard vertebral bones of your spine. A disk may be painful...
Electrodiagnostics
Electrodiagnostics (EDX) testing is used to evaluate the integrity and function of the peripheral nervous (most cranial nerves..
Car Accidents Injuries
At Padda Institute Of Pain Management, we understand that car accidents can result in a wide range of injuries, causing...
Cluster Headache Treatment
Cluster Headache is a very severe form of primary headache disorder with a population, one-year prevalence of about 0.1 %....
Complex Regional Pain Syndrome
“Of all the chronic neuropathic pain syndromes, none has perplexed patient, clinician, and scientist more than the complex regional pain..
Diabetes And Neuropathy
Diabetic Peripheral Neuropathy (DPN) is the most common complication of diabetes, and often presents as a distal, symmetric..
Hip Joint Injection
The hip joint is a large joint where the leg joins the pelvis, functioning as a ball and socket joint....
Lumbar Sympathetic Nerve Block
Your body has special nerves known as sympathetic nerves in your back which ,control blood supply and sweating to your...
Migraine Headaches
Headache is among the principal reasons for physician visits and a common cause of emergency department visits. The costs of...
Sacroiliac (SI) Joint Injection
A sacroiliac joint injection delivers anti-inflammatory medication into the SI joint under fluoroscopic guidance. Performed at Padda Institute in St....
Kyphoplasty
Vertebral compression fractures are among the most common fractures in people with osteoporosis, and they are frequently missed or dismissed...
Trigger Point Injections
A trigger point injection places local anesthetic directly into a taut, painful band of muscle to interrupt the spasm and...
Celiac Plexus Block
A celiac plexus block places local anesthetic, sometimes with a neurolytic agent, around the celiac plexus under image guidance to...
Sphenopalatine Ganglion Block
A sphenopalatine ganglion block delivers local anesthetic to the SPG, a nerve cluster behind the nose, to interrupt pain signals...
Spinal Cord Stimulation
Spinal cord stimulation uses a small implanted device to deliver mild electrical impulses to the spinal cord, interrupting chronic nerve...
Peripheral Nerve Stimulation
Peripheral nerve stimulation places a fine lead near a specific damaged nerve and delivers electrical impulses that modulate the pain...
Hydrodissection
Hydrodissection uses an ultrasound-guided fluid injection to separate an entrapped peripheral nerve from surrounding scar tissue or fascia, relieving mechanical...
Epiduroplasty (Epidural Lysis of Adhesions)
Epiduroplasty, also called epidural lysis of adhesions, uses a catheter under fluoroscopic guidance to break down scar tissue in the...
Ultrasound-Guided and Fluoroscopic Procedures
Padda Institute performs procedures under both ultrasound and fluoroscopic guidance in St. Louis. Ultrasound permits dynamic assessment of a moving...
Nerve Blocks
A nerve block places local anesthetic, sometimes with a steroid, around a specific nerve or nerve group to interrupt pain...
Genicular Nerve Block
A genicular nerve block places local anesthetic around the genicular nerves supplying the knee joint, under image guidance. Padda Institute...
Genicular Radiofrequency Ablation
Genicular radiofrequency ablation applies controlled heat to the genicular nerves supplying the knee, interrupting pain signals for far longer than...
Viscosupplementation (Knee Gel Injections)
Viscosupplementation injects hyaluronic acid into the knee joint to supplement the natural synovial fluid thinned by osteoarthritis. Padda Institute performs...
Botox for Chronic Migraine
Botox (onabotulinumtoxinA) is an FDA-approved preventive treatment for chronic migraine, delivered as 31 small injections across seven head and neck...
Cluneal Neuropathy
Cluneal neuropathy is entrapment of the superior or middle cluneal nerves as they cross the iliac crest or sacrum, producing...
Piriformis Syndrome
Piriformis syndrome is compression or irritation of the sciatic nerve by the piriformis muscle in the buttock, producing pain that...
Ketamine for RSD, CRPS and Refractory Nerve Pain
Ketamine blocks the NMDA receptor, the reason it is considered for RSD, CRPS and refractory nerve pain after standard care...
Medical Weight Loss
Physician-led weight management for patients whose pain and metabolic health are linked, combining coaching, nutrition, medication, lifestyle medicine and exercise...
Counseling for Chronic Pain
In-house psychological counseling for chronic pain, using cognitive behavioral and acceptance-based approaches alongside interventional and metabolic treatment.
Lifestyle Medicine
Treating the terrain around chronic pain: sleep and circadian timing, nutrition, movement and the metabolic and inflammatory markers that decide...